The Decision by Registered Nurse of Refusing a Patient Allocation

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Nursing Question

The Nursing and Midwifery Board of Australia, emphasises the professional accountability of nurses. Nursing is governed by professional codes and practice standards. There are times in practice where you may be asked to do work that you consider being unsafe or risky. For example, being asked to care for patients in a speciality area that you are unfamiliar with, or being assigned patients who have a highly infectious communicable disease. 
 
This assignment asks you to consider an ethical dilemma – the decision by registered nurses of refusing a patient allocation. This is a complex decision and may have implications for an individual’s practice as a healthcare professional. 
 
In this assignment you are to address the following:
 
Is refusing a patient allocation an option for a registered nurse? If so, why? If not, why not?How you will you respond to complaints made about you to the Director of Nursing and/or Nursing Midwifery Board of Australia as a consequence taking such an action?
 
In your response you are to critically address the questions with reference to the academic literature and regulatory standards and codes.

Nursing Solution

This paper evidentially discusses the ethical dilemma that aroused from a patient allocation in the pediatric ward during my placement. The senior nurse supervisor allocated a deteriorated infant while assigning me his nursing care responsibilities in the clinical setting. I recently graduated from nursing college and lacked experience and confidence in looking after the admitted infant. Therefore, I shared my thought of changing my allocation to the general healthcare ward due to my inexperience in dealing with the allocated patient scenario. Although as a qualified nurse, it’s my ethical and moral responsibility of taking care of the health and wellness of the admitted patient; however, the patient might remain at risk of developing clinical complications in case the nurse care professional lacks competence and ability to accomplish the care requirements. Therefore, while considering my accountability for the admitted infant and keeping in view the safety concerns I refused to accept the allocation that resulted in an ethical dilemma that was subsequently escalated to the Nursing Director and NMBA. The paper provides various theories and conventions in relation to dealing with similar nursing scenarios where the nurses require refusing the patient allocation for safeguarding the health and wellness of the admitted patient.        
 
Refusal of Patient Allocation by Registered Nurse – Critical Analysis
 
Nurse professionals face ethical discrepancies and challenges on a daily basis while encountering the patients affected with complex clinical manifestations (Ulrich et al., 2013). The nurse professionals also own the responsibility of practicing confidentiality conventions for effectively safeguarding the rights of the treated patients across the healthcare setting. They also remain accountable for surpassing the conflicts of interest and unethical approaches while dealing with the care requirements of the treated patients (Ulrich et al., 2013). The research findings retrieved by (Scheunemann & White, 2011) reveal the significant attributes that require consideration by healthcare teams during patient allocation. The legitimate analysis, reasoning, transparent decision-making and public engagement highly required while taking a decision regarding admitting or refusing a patient in the hospital ward (Scheunemann & White, 2011). In the presented patient scenario, the nurse professional utilized the attribute of reasoning while considering the patient’s safety in refusing his allocation………..
 
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